Evaluation of visual evoked potential binocular summation after corneal refractive surgery

Purpose To explore whether visual evoked binocular summation is affected in eyes with refractive errors after refractive surgery. Methods Twenty participants (6M, 14F) aged 20–35 years (mean 26.7 ± 4.4) were assessed through pattern-reversal visual evoked potential viewing with their every eye (first right eye and then left eye) and then with both eyes while wearing their best correction before undergoing surgery. Also, parameters of the P100 component of pattern-reversal visual evoked potential were evaluated after 3 months of refractive surgery in two different check sizes. Monocular and binocular amplitudes and latencies of P100 wave and binocular summation index were compared between before and after surgery. Results Monocular visual evoked potentials elicited by two different high-contrast checkerboard-patterned stimuli were significantly reduced in P100 wave amplitude ( P < 0.05) after refractive surgery. However, there was no difference between the pre- and post-refractive surgery in the mean value of monocular P100 latency ( P > 0.05). Similar to monocular findings of P100 wave amplitude, on binocular viewing, the mean value of pattern-reversal visual evoked potential amplitude was significantly reduced ( P < 0.05), and P100 wave latency was prolonged ( P < 0.05) after refractive surgery in participants. Also, the mean postoperative binocular summation index value as compared to that in the preoperative was significantly lesser ( P < 0.05) for the subject in this study. Conclusions Refractive surgery can degrade binocular visual performance throughout the change in visual evoked potential binocular summation. However, monocular function deteriorates less than binocular function after refractive surgery.